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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENTON IRVINE

Active Sole Proprietor

KENTON IRVINE is a Assisted Living Facility healthcare provider located in ENNIS, Montana. NPI 1689098253 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · ENNIS, MT

Registration Details

NPI Number
1689098253
Provider Type
Individual
Gender
Male
NPI Issued
Feb 18, 2014 (12.483161163439 yrs)
Last Updated
Feb 18, 2014
License
12601 (MT)
Sole Proprietor
Yes

Practice Information

Address
200 W FAGIN ST
ENNIS, MT, 597298923
Browse MT providers · Browse ZIP 59729
Phone
4065397133
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.